most amusing EoB from my provider.
for the Philips DreamStation: $2260 for about 90 days
about $1000 to purchase.
man, the insurance game is good business.
insurance cost vs purchase
3 posts
• Page 1 of 1
Re: insurance cost vs purchase
You ain't kidding. Insurance/Medical Billing is corrupt as hell.
On Jan 1, my wife was 4 months in to a 7 month rental (after which she owns the machine). We were led to believe that our insurance plan required a rental to cover a new CPAP user to determine compliance - I don't know if this is true or not - too late now.
Total term: $275 x 7 = $1925
She/insurance had paid: $1100
Balance left: $825
My employer changed insurance providers, which put this DME out of network. I called to arrange to self-pay the balance of $825. The friendly guy on the other said that I'd get a 25% discount for self-paying. Cool right!? Then he proceeded to calculate my cost:
($275 x 7) x (1-0.25) = $1443.75
WHAT!?!? We only had 3 payments left.
Since our insurance provider changed, he said they had to start a new contract. Isn't that nice?
I bought her a new, better model online for ~$875
Lot's to say on the industry overall - not sure I want to get wrapped up in it today though. We're stuck with it because fixing it would crash the economy.
On Jan 1, my wife was 4 months in to a 7 month rental (after which she owns the machine). We were led to believe that our insurance plan required a rental to cover a new CPAP user to determine compliance - I don't know if this is true or not - too late now.
Total term: $275 x 7 = $1925
She/insurance had paid: $1100
Balance left: $825
My employer changed insurance providers, which put this DME out of network. I called to arrange to self-pay the balance of $825. The friendly guy on the other said that I'd get a 25% discount for self-paying. Cool right!? Then he proceeded to calculate my cost:
($275 x 7) x (1-0.25) = $1443.75
WHAT!?!? We only had 3 payments left.
Since our insurance provider changed, he said they had to start a new contract. Isn't that nice?
I bought her a new, better model online for ~$875
Lot's to say on the industry overall - not sure I want to get wrapped up in it today though. We're stuck with it because fixing it would crash the economy.
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chunkyfrog
- Posts: 34544
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nowhere special--this year in particular.
Re: insurance cost vs purchase
Private insurance is ridiculous--no way there is no baksheesh!
I figured out how much my DME collected for my Airsense 10 Autoset for Her,
and the 13 month Medicare contracted amount is darn close to the lump sum I would have paid at our hosts.
My pillows are about the same as online, but filters-- OMG, Medicare allows a very good profit.
I get the hypoallergenic, as they get paid the same either way.
I figured out how much my DME collected for my Airsense 10 Autoset for Her,
and the 13 month Medicare contracted amount is darn close to the lump sum I would have paid at our hosts.
My pillows are about the same as online, but filters-- OMG, Medicare allows a very good profit.
I get the hypoallergenic, as they get paid the same either way.
_________________
| Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: Airsense 10 Autoset for Her |
3 posts
• Page 1 of 1